Mharajoy S Kobinah, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6717 Issued in WI

Practice address

4655 N Port Washington Rd
Suite 325
Glendale, WI 53212-1004

Phone

(414) 269-8282

Fax

(414) 269-8280

NPI assigned

Oct 10, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mharajoy G Sison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1336491646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "THIENSVILLE",
            "state": "WI",
            "postal_code": "530920639",
            "telephone_number": "414-247-9005",
            "fax_number": "414-247-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 N PORT WASHINGTON RD",
            "address_2": "SUITE 325",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121004",
            "telephone_number": "414-269-8282",
            "fax_number": "414-269-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBINAH",
        "first_name": "MHARAJOY",
        "middle_name": "S",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MHARAJOY",
            "last_name": "SISON",
            "middle_name": "G",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige Christine Kitzing, DMD
• James G Klamik, MD
• Theresa A. Klein, APNP
• Jane Klemmer, NP
• Scott Wayne Knuth, OTR
• Jeffrey Kobinsky
• Melinda Koenig
• Stanislav Kononov, LMT
• Rishi Kora, M.D.
• Melinda M Korish, PROFESSIONAL COUNSEL

• Family Nurse Practitioner in Glendale, WI
• Providers in Glendale, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.